The Important Of The Family Planning On Women Of Child Bearing Age (15-49)
[A CASE STUDY OF MOBA LOCAL GOVERNMENT AREA, OTUN EKITI, EKITI STATE.]

The classic anecdote that served as a turning point for Margaret sanger washer experience with Mrs. Sadie sachs, a 28- year old, mother of three. Sanger was first called to Mes. Sachs tenement to assist her following a self- induced abortion. Mrs. sachs pleaded with her doctor for “you want to have your cake and eat it too, do you? Well, tell jake to sleep on the roof”. Three months later, sanger decided where her true life mission lay. She became driven by the cause of supplying women with information, changing archaic laws, and developing contraceptive techniques.
    While in Europe, sanger studied and researched all that was know about birth control. She visited the first European birth control clinic in the Netherlands, and learned to fit diaphragms.
    In 1915 the birth control movement organized, the American Birth control league to effect changes in state and federal laws prohibiting birth control. In 1916 sanger and her sister, Ellen Bryne, opened the first United States birth control clinic in a poor area of Brwklyn. In the first four days, 500 women came seeking birth control information.
    They received only information (not birth control methods) and addresses of where to order supplies. The clinic was rapid and closed. Sanger was arrested eight times that year. Finally, in 1918 doctors could prescribe birth control if there was any evidence that pregnancy was a health risk.
    In the late 1950s, birth control programs were limited by the lack of highly effective methods suitable for mass distribution.
    The early 1960s brought FDA approval of the birth control pill and the IUD also entered the market, allowing a boost to the movement. (Federal Office of Statistics, 1992).
2.1.2    IMPORTANCE OF FAMILY PLANNING
    Us Department of Health and Human services (2013), family planning services can help address these and other public health challenges by providing education, counseling and medical services, family planning services include the following.
-    Proving contraception to help women and men plan and space births, prevent unintended pregnancies and reduce the number of abortions.
-    Offer in pregnancy testing and counseling
-    Helping clients who want to conceive
-    Providing basic infertility service
-    Providing preconception health services to improve infant and maternal outcomes and improve women’s health and
-    Providing sexually transmitted disease (STD) screening and treatment services to prevent tubal infertility and improve the health of women, men, and infants
2.1.3    CONTRACEPTIVE SERVICES
    Provides should offer contraceptive services to clients who wish to delay or prevent pregnancy. Contraceptive services should include consideration of a full range of FDA- approved contraceptive methods, a brief assessment to identify the contraceptive methods that are safe for the client, contraceptive counseling to help a client choose a method of contraception and use it correctly and consistently and provision of one or more selected contraceptive method(s), preferably on site, but by referral if necessary. Contraceptive counseling is defined a process that enables clients to make and follow through on decisions, about their contraceptive use. Education is an integral component of the contraceptive counseling process that helps clients to make informed decisions and obtain the information they need to use contraceptive method correctly. Key steps in providing contraceptive counseling and education, have been outlined.
2.1.4    These Five Key Steps of Principles of Equality Counseling
    These key steps are in accordance with the Five principles of quality counseling. To help a client who is initiating or switching to a new method of contraceptive, providers should follow these steps. These steps most likely will be implemented iteratively when working with a client and should help clients adopt, change or maintain contraceptive use.
Step1: Establish and maintain rapport with the client. Providers should strive to establish and maintain rapport strategies to achieve these goals include the following:
-    Using open- ended questions.
-    Demonstrating expertise, trust worthiness and accessibility
-    Ensuring privacy and confidentiality
-    Explaining how personal information will be used \
-    Encouraging the client to ask question and share information
-    Listening to and observing the client
-    Being encouraging and demonstrating empathy and acceptance